II. Types
- Finger tip (superficial Hand Infections)
- Deep Hand Infections
- Infected open Fracture (e.g. fifth Metacarpal Fracture)
- Suppurative Tenosynovitis
- Human Bite (due to clenched fist injury)
- Regional Infections
III. Differential Diagnosis: Non-infectious Causes of Hand Lesions
- Acute calcific Tendinitis
- Chronic Paronychia
- Hand Dermatitis
- Contact Dermatitis
- Dyshidrotic Eczema
- Foreign body skin reaction
- Inflammatory Arthritis
- Pyogenic Granuloma
IV. Management
- Treat for specific causes above
-
General measures
- See Cellulitis for general measures
- Tetanus Prophylaxis for open wounds
- Irrigate open wounds
- Incision and Drainage for abscesses
- Surgical Debridement for necrotic tissue within wound
- Rest and elevate the affected hand (reduces edema)
- Apply warm compresses to the affected hand (increases local Blood Flow and Antibiotic delivery)
- Splint in a position of function (decreases risk of flexion contractures)
- Open Fracture
- Emergent orthopedic Consultation
- Antibiotic coverage
- Start with First Generation Cephalosporin
- Add Aminoglycoside for contaminated wounds
- Add high dose Penicillin if Clostridium suspected
V. References
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Related Studies
Concepts | Disease or Syndrome (T047) |
SnomedCT | 299991003, 200736008, 200732005 |
Dutch | geïnfecteerde vinger, infectie; vinger, vinger{s}; infectie |
French | Doigt infecté |
German | infizierter Finger |
Italian | Dito infetto |
Portuguese | Dedo da mão infectado |
Spanish | Dedo de mano infectado, infección de dedo de la mano (trastorno), infección de dedo de la mano |
Japanese | 指感染, シカンセン, ユビカンセン |
English | Infection finger, Infection of finger, Infection of finger (disorder), infection of fingers, infection of fingers (physical finding), Infected finger, finger infections, fingers infection, infection finger, Infection;finger(s), finger infection, fingers infected, fingers infections, infected finger, Infection finger (disorder), disorder of hand finger infection, Infection of finger (diagnosis), finger(s); infection, infection; finger |
Czech | Infekce prstu |
Hungarian | Fertőzött ujj |
Ontology: Infected hand (C0577657)
Concepts | Disease or Syndrome (T047) |
SnomedCT | 300950007 |
English | disorder of hand infected, Infected hand (diagnosis), Infected hand, Infected hand (disorder) |
Spanish | mano infectada (trastorno), mano infectada |